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Original Question

en 9 Skip to the question Prev 2 of 3 1 Correct 0 Incorrect Next Settings A 65-year-old male comes to his primary care physician with worsening lower extremity weakness and fatigue. Over the past year, he has had increased difficulty climbing stairs and pain in his hips while doing so. Moreover, the patient has worsening fatigue, stating “I can only take a few steps before feeling short of breath.” He had an upper respiratory infection two weeks ago. Past medical history is notable for poliomyelitis as a child, hypertension, and asthma. Temperature is 37.0°C (98.6°F), pulse is 67/min, respirations are 12/min, blood pressure is 112/74 mmHg, and O2 saturation is 98% on room air. Physical exam is notable for asymmetric bilateral lower extremity weakness and atrophy, left greater than right, as well as hypoactive patellar reflexes. Which of the following is the most likely diagnosis? Elimination tool Choose an option: Post-polio syndrome Amyotrophic lateral sclerosis Spinal muscular atrophy type 1 Guillain-Barre syndrome Polymyalgia rheumatica

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